Macro partitioning
Consuming carbohydrates above 65% of total energy intake reduces the odds of having a high Triglyceride-Glucose (TyG) index, while consuming lipids below 25% of total energy also reduces the odds of a high TyG index.
For patients with heart disease, dietary composition matters for metabolic health. This study suggests that consuming more than 65% of calories from carbohydrates and less than 25% from lipids is associated with a lower Triglyceride-Glucose index. However, be cautious: the quality of these carbohydrates (e.g., whole grains vs. refined sugars) and fats (e.g., unsaturated vs. saturated) was not fully analyzed here, so prioritize nutrient-dense sources.
Interestingly, carbohydrate consumption above 65% of energy reduces the chance of being in the highest tertile of TyG index by 47%. On the other hand, lipid consumption below 25% of energy is associated with a 27% decrease in the chance of being in the third tertile of TyG...
Why this rating
Observational data; the authors caution that carbohydrate quality was not evaluated, and high carb intake is generally linked to higher mortality in other studies.
Source
Triglyceride-glucose index is associated with symptomatic coronary artery disease in patients in secondary care
Alessandra da Silva et al. · Cardiovascular Diabetology · 2019
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